Social Support and Self- Care Behaviour among Heart Failure Patients

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Heart failure is a chronic disease that could cause a significant medical burden. This study aims to determine the relationship between social support and self-care behaviour among heart failure patients. Thirty patients from a Clinical Training Centre participated in this cross-sectional study. Instruments used in the study were the Multidimensional Scale of Perceived Social Support (MSPSS) and The European Heart Failure Self-care Behaviour Scale (EHFSCBC). The results showed that there was a relationship between social support and self-care behaviour (r=0.40, p<0.05). Awareness of the impact of good social support on self-care behaviour is crucial for heart failure patients and their families.


Heart failure, social support, self-care behavior


Årestedt, K., Saveman, B., Johansson, P., & Blomqvist, K. 2013. Social support and its association with health-related quality of life among older patients with chronic heart failure. European Journal of Cardiovascular Nursing, 12(69). doi: 10.1177/1474515111432997

Chamberlain, L. 2017. Perceived social support and self-care in patients hospitalized with heart failure. European Journal of Cardiovascular Nursing, 16(8), 753-761. doi:10.1177/1474515117715842

Cocchieri, A., Riegel, B., D'Agostino, F., Rocco, G., Fida, R., Alvaro, R., & Vellone, E. (2013). Describing Self-Care in Italian Adults with Heart Failure and Identifying Determinants of Poor Self-Care. European Journal of Cardiovascular Nursing, 14 (2), 126-136.

Daus, M., Osokpo, O., Brown, S. D., Riegel, B. J. (2018). The Moderating Effect of Social Support in Promoting Self-care in Heart Failure Patients with Comorbid Illnesses. Journal of Cardiac Failure, 24(8S).

Gallagher, R., Luttik, M. L., & Jaarsma, T. 2011. Social support and self-care in heart failure. Journal of Cardiobascular Nursing, 26(6), 439-445. doi: 10.1097/JCN.0b013e31820984e1.

Godfrey, C. M., Harrison, M. B., Lysaght, R., et al. (2011). Care of self-care by other-care of other: The meaning of self-care from research, practice, policy and industry perspectives. Int J Evid Based Healthc, 9, 3–24.

Jaarsma, T., Årestedt, K. F., Mårtensson, J., Dracup, K., & Strömberg, A. 2009. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument. European Journal of Heart Failure, 11(1), 99-105. doi:10.1093/eurjhf/hfn007.

Jaarsma, T., Strömberg, A., Ben Gal, T., Cameron, J., Driscoll, A., Duengen, H. D., Inkrot, S., Huang, T. Y., Huyen, N. N., Kato, N., Köberich, S., Lupón, J., Moser, D. K., Pulignano, G., Rabelo, E. R., Suwanno, J., Thompson, D. R., Vellone, E., Alvaro, R., Yu, D., & Riegel, B. 2013. Comparison of self-care behaviors of heart failure patients in 15 countries worldwide. Patient Education Counselling, 92(1), 114-120. doi: 10.1016/j.pec.2013.02.017

Jaarsma, T., Strömberg, A., Mårtensson, J., & Dracup, K. 2003. Development and testing of the European Heart Failure Self-Care Behaviour Scale. European Journal of Heart Failure, 5(3), 363-370. doi:10.1016/s1388-9842(02)00253-2

Jones, C. D., Holmes, G. M., Dewalt, D. A., et al. (2012). Is adherence to weight monitoring or weight based diuretic self-adjustment associated with fewer heart failure-related emergency department visits or hospitalizations? J Card Fail, 18, 576-584.

Khaledi, G. H., Eslami, A. A., Afza, H. R., Mostafavi, F., & Akbar, H. 2015. Evaluation of the Effect of Perceived Social Support on Promoting Self Care Behaviors of Heart Failure Patients Referred to The Cardiovascular Research Center of Isfahan. Iran Red Crescent Medical Journal, 17(6). doi: 10.5812/ircmj.22525v2

Mahrer-Imhof, R., Hoffmann, A., & Froelicher, E. S. 2007. Impact of cardiac disease on couples' relationships. Journal of Advanced Nursing, 57(5), 513-521. doi:10.1111/j.1365-2648.2006.04141.x

Lucinda J. Graven, & Joan S. (2014). Social support and self-care behaviors in individuals with heart failure: An integrative review. Grant International Journal of Nursing Studies, 51, 320–333.

Mohamad, N., Abdul Mulud, Z., Ibrahim, M., & Damanhuri, N. (2019). The Relationship between Self-Efficacy and Health Promoting Behaviour among Older Adults with Chronic Illness. E-BPJ, 4(11), 73-78.

National Heart Foundation. Health Information: Living Well with Chronic Heart Failure. 2012. Available from: (accessed 22 November 2015)

Pedersen, S. S., Spinder, H., Erdman, R. A., & Denollet, J. 2009. Poor perceived social support in implantable cardioverter defibrillator (ICD) patients and their partners: cross-validation of the multidimensional scale of perceived social support. Psychosomatics, 50(5), 461-467. doi: 10.1176/appi.psy.50.5.461.

Ponikowski, P., Anker, S. D., AlHabib, K. F., Cowie, M. R., Force, T. L., Hu, S. S., Jaarsma, T., Krum, H., Rastogi, V., Rohde, L. E., Samal, U. C., Shimokawa, H., Siswanto, B. B., Sliwa, K., & Filippatos G. (2014). Heart failure: preventing disease and death worldwide. ESC Heart Failure, 1, 4–25

Riegel, B., Driscoll, A., Suwanno, J., et al. (2009). Heart failure self-care in developed and developing countries. J Card Fail,15, 508-516.

Riegel, B., Jaarsma, T. & Stromberg, A. (2012). A middle-range theory of self-care of chronic illness. ANS Adv Nurs Sci, 35, 194–204

Riegel, B., Moser, D. K., Anker, S. D. et al. (2009). State of the science: Promoting self-care in persons with heart failure: A scientific statement from the American Heart Association. Circulation, 120, 1141–1163.

Riegel, B., Moser, D. K., Anker, S. D., Appel, L. J., Dunbar, S. B., Grady, K. L., Gurvitz, M. Z., Havranek, E. P., Lee, C. S., Lindenfeld, J., Peterson, P. N., Pressler, S. J.,

Schocken, D. D., & Whellan, D. J. 2009. State of the science: promoting self-care in persons with heart failure: a scientific statement from the American Heart Association.

Circulation, 120(12),1141-1163. doi: 10.1161/CIRCULATIONAHA.109.192628

Riegel. B., Vaughan Dickson, V., Goldberg, L. R., & Deatrick, J. A. (2007). Factors associated with the development of expertise in heart failure self-care. Nurs Res, 56, 235-243.

Robyn, G., Marie-Louise, L., Tiny, J. 2011. Social Support and Self-care in Heart Failure. Journal of Cardiovascular Nursing, 26(6), 439-445

Roscoe, J. T. 1975. Fundamental Research Statistics for Behavioural Sciences. 2nd ed. New York: Holt Rinehart & Winston.

Sakata, Y., & Shimokawa, H. 2013. Epidemiology of Heart Failure in Asia. Circulation, 77(9), 2209-2217. doi:10.1253/circj.cj-13-0971

Sayers, S. L., Riegel, B., Pawlowski, S., Coyne, J. C., & Samaha, F. F. 2008. Social Support and Self-Care of Patients with Heart Failure. Annals of Behavioral Medicine, 35(1), 70-79. doi:10.1007/s12160-007-9003-x

Singer, P. A., Martin, D. K., & Kelner, M. (1999) Quality end-of-life care: patients’ perspectives. JAMA, 281, 163–168 4.

Stanek, E. J., Oates, M. B., McGhan, W. F., Denofrio, D., & Loh, E. (2000) Preferences for treatment outcomes in patients with heart failure: symptoms versus survival. J Card Fail, 6, 225–232

Vellone, E., Jaarsma, T., Strömberg, A., Fida, R., Årestedt, K., Rocco, G. et al. 2014. The European Heart Failure Self-care Behaviour Scale: New insights into factorial structure, reliability, precision and scoring procedure. Patient Education and Counseling, 94(1), 97-102. doi:10.1016/j.pec.2013.09.014

Yancy, C. W., Mariell, J., Bozkurt, B., Butler, J., Casey, D. E., Drazner, Fonarow, G. C., Geraci, S. A., Horwich, T., Januzzi, J. L., Johnson, M. R., Kasper, E. K., Levy, W. C., Masoudi, F. A. et al. 2013. 2013 ACCF/AHA Guideline for the Management of Heart Failure: Executive Summary. A Report of the American College of Cardiology Foundation/ American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the American College of Chest Physicians, Heart Rhythm Society, and International Society for Heart and Lung Transplantation Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation. Journal of the American College of Cardiology, 62(16). doi:

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. 1988. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41.



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